NICOLE FERNANDES

SANTA ROSA, CA
NPI1558997569
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95012649)
Enumeration Date2020-03-21
Last Update Date2020-03-21
Business Address
NICOLE FERNANDES
1300 N DUTTON AVE
SANTA ROSA, CA 95401-7112
Phone number: 707-396-9191
Mailing Address
NICOLE FERNANDES
4789 SENECA PARK AVE
FREMONT, CA 94538-4074
Phone number:
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